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Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu

Year 2018, Volume: 8 Issue: 3, 197 - 200, 30.09.2018
https://doi.org/10.16899/gopctd.403178

Abstract




Amaç: Bu çalışmada, yoğun bakım ünitemizde
Griggs tekniği ile açılan perkütan trakeostomilerin işlemlerinin erken
komplikasyonları sunmayı amaçladık.




Gereç ve Yöntemler: Çalışmamızda, 2010-2016 yılları arasında Griggs tekniği ile perkütan
trakeostomi açılan, 37 erkek 66 kadın olgu incelendi. Boyun yapısı normal olan
ve hemostatik bozukluğu olmayan hastalar çalışmaya dahil edildi.




Bulgular: Hastaların hepsinde perkütan trakeostomi başarılı bir şekilde açıldı.
Komplikasyon olarak 6 hastada minör kanama, 15 hastada hipotansiyon,  1 hastada yara yeri enfeksiyonu görüldü. Hastalarda
pnömotoraks, ciddi hipoksi ve mortalite görülmedi.




Sonuç: Griggs tekniği ile perkütan trakeostomi
açılmasının yatak başında kısa sürede uygulanan, düşük komplikasyon oranına
sahip bir yöntem olduğu kanaatine varıldı.




References

  • 1.Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest 1989; 96: 178-180.
  • 2. Marsh HM, Gillespie DJ, Baumgartner AE. Timing of tracheostomy in the critically ill patients. Chest 1989; 96: 190193.
  • 3.Mallick A, Bodenham AR. Tracheostomy in critically ill patients. Eur J Anaesthesiol 2010; 27: 676-682. 3
  • 4. Whited RE. A prospectivestudy of laryngotracheal sequelae in termintubation. Laryngoscope 1984; 94: 367-377.
  • 5. Shelden CH, Pudenz RH, Tichy FY. Percutaneous tracheotomy. JAMA 1957; 165: 2068-2070.
  • 6.Toy FJ, Weinstein JD. A percutaneous tracheostomy device. Surgery 1969; 65: 384-389.
  • 7. Ciaglia P, Firsching R, Syniec C. Electivepercutaneous dilatational tracheostomy: a new simple bedside procedure: preliminaryreport. Chest 1985; 87: 715-719.
  • 8. Schachner A, Ovil Y, Sidi J. Percutaneous tracheostomy: A newmethod. Crit Care Med 1989; 17: 1052-1056.
  • 9. Griggs WM, Worthley LIG, Gilligan JE, Thomas PD, Myburg JA. A simple percutaneous tracheostomy technique. Surgery 1990; 170: 543-545.
  • 10.Anon JM, Gomez V, Escuela P, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124-8.
  • 11. Rao BK, Pande R, Sharma SC, et al. Percutaneous tracheostomy. Annals of Cardiac Anaesthesia 2003; 6: 19-26.
  • 12.Caruso, DM, al-Kasspooles, MF, Matthews, MR, et al Rationalefor “early” percutaneous dilational tracheostomy in patients with burn injuries. J BurnCare Rehabil 1997;18,424-428.
  • 13. Diehl, JL, El Atrous, S, Touchard, D, et al Changes in thework of breathing induced by tracheotomy in ventilator-dependent patients.Am J Respir Crit Care Med 1999;159,383-388
  • 14. Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous trache-ostomy. Crit Care Med 1991;19:1018-24.
  • 15. Crofts SL, Alzeer A, McGuire GP, et al. A comparison of percutaneous and operative tracheostomies in intensive care patients. Can J Anaesth 1995;42:775-79
  • 16. Sağıroğlu EA, Ağkoç E, Doğan Y, ve ark. Yoğun Bakım Ünitesinde Perkütan ve Cerrahi Trakeostomilerin Karşılaştırılmsı.Göztepe Dergisi 2010;25(2): 67-70.
  • 17. Çiçek M, Gedik E, Yücel A, Köroğlu A, Ersoy MÖ. Griggs tekniği ile açılan perkütan trakeotomi sonuçlarımız. İnönü Üniversitesi Tıp Fakültesi Dergisi 2007; 14: 17-20.
  • 18. Akıncı İÖ, Tuğrul S, Özcan P, ve ark. Perkütan dilatasyonlu ve forsepsli trakeostomi tekniklerinin karşılaştırılması. Türk Anestezi Reanimasyon Cemiyeti Mecmuası 2001; 29: 547-550.
  • 19. Friedman Y. Comparison of percutaneous and surgical tracheostomies. Chest 1996;110(2):480-485.
  • 20. Kaplan A, Yaşar MA, Özer AB. Griggs, Perkütwist ve Ciaglia Perkütan Trakeostomi Yöntemlerinin Karşılaştırılması. Fırat T ıp Dergisi 2010;15(4):173-177.
  • 21. Byhahn C, Wilke HJ, Lischke V, et al. Bedside percutaneous tracheostomy: clinical comparison of Griggs and Fantoni techniques. World J Surg 2001; 25: 296-301.
  • Anon JM, Gomez V, Escuela P, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124-8.
  • 22.Van Heurn LW, Van Geffen GJ, Brink PR. Clinical experience with percutaneous dilatational tracheostomy: report of 150 cases. Eur J Surg 1996; 162: 531-5.
  • 23.Friedman Y, Mizock BA. Percutaneous versus surgical tracheostomy: procedure of choice or choice of procedure. Crit Care Med 1999; 27: 1684-5.

Our tracheostomy experiences in intensive care; 103 cases

Year 2018, Volume: 8 Issue: 3, 197 - 200, 30.09.2018
https://doi.org/10.16899/gopctd.403178

Abstract

Objective:
In this study we aimed to present the early complications of the percutaneous tracheotomies
with Griggs technique in our intensive care unit.

Materials and Methods: In this study , we investigated 103 patients. Percutaneous tracheostomy with Griggs method were performed to all patients. This study performed between 2010-2016. 37 male, 66 female patients were investigated. Normal tracheal and neck structurel patients were selected for technique. There were also no hemostatic problem. Peroperative and postoperative complications were recorded.

Results: Percutaneous tracheostomies were performed succesfully in all patients.  Minör bleeding were seen on 6 patients,  hypotension on 15 patients, wound infection on 1 patient. Pneumothorax, serious hypoxia and mortality were not seen during percutaneous tracheostomy.





Conclusion: We conclude that percutaneous tracheostomy
with Griggs technique is performed in a short time at the bedside and has a low
complication ratio.

References

  • 1.Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest 1989; 96: 178-180.
  • 2. Marsh HM, Gillespie DJ, Baumgartner AE. Timing of tracheostomy in the critically ill patients. Chest 1989; 96: 190193.
  • 3.Mallick A, Bodenham AR. Tracheostomy in critically ill patients. Eur J Anaesthesiol 2010; 27: 676-682. 3
  • 4. Whited RE. A prospectivestudy of laryngotracheal sequelae in termintubation. Laryngoscope 1984; 94: 367-377.
  • 5. Shelden CH, Pudenz RH, Tichy FY. Percutaneous tracheotomy. JAMA 1957; 165: 2068-2070.
  • 6.Toy FJ, Weinstein JD. A percutaneous tracheostomy device. Surgery 1969; 65: 384-389.
  • 7. Ciaglia P, Firsching R, Syniec C. Electivepercutaneous dilatational tracheostomy: a new simple bedside procedure: preliminaryreport. Chest 1985; 87: 715-719.
  • 8. Schachner A, Ovil Y, Sidi J. Percutaneous tracheostomy: A newmethod. Crit Care Med 1989; 17: 1052-1056.
  • 9. Griggs WM, Worthley LIG, Gilligan JE, Thomas PD, Myburg JA. A simple percutaneous tracheostomy technique. Surgery 1990; 170: 543-545.
  • 10.Anon JM, Gomez V, Escuela P, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124-8.
  • 11. Rao BK, Pande R, Sharma SC, et al. Percutaneous tracheostomy. Annals of Cardiac Anaesthesia 2003; 6: 19-26.
  • 12.Caruso, DM, al-Kasspooles, MF, Matthews, MR, et al Rationalefor “early” percutaneous dilational tracheostomy in patients with burn injuries. J BurnCare Rehabil 1997;18,424-428.
  • 13. Diehl, JL, El Atrous, S, Touchard, D, et al Changes in thework of breathing induced by tracheotomy in ventilator-dependent patients.Am J Respir Crit Care Med 1999;159,383-388
  • 14. Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous trache-ostomy. Crit Care Med 1991;19:1018-24.
  • 15. Crofts SL, Alzeer A, McGuire GP, et al. A comparison of percutaneous and operative tracheostomies in intensive care patients. Can J Anaesth 1995;42:775-79
  • 16. Sağıroğlu EA, Ağkoç E, Doğan Y, ve ark. Yoğun Bakım Ünitesinde Perkütan ve Cerrahi Trakeostomilerin Karşılaştırılmsı.Göztepe Dergisi 2010;25(2): 67-70.
  • 17. Çiçek M, Gedik E, Yücel A, Köroğlu A, Ersoy MÖ. Griggs tekniği ile açılan perkütan trakeotomi sonuçlarımız. İnönü Üniversitesi Tıp Fakültesi Dergisi 2007; 14: 17-20.
  • 18. Akıncı İÖ, Tuğrul S, Özcan P, ve ark. Perkütan dilatasyonlu ve forsepsli trakeostomi tekniklerinin karşılaştırılması. Türk Anestezi Reanimasyon Cemiyeti Mecmuası 2001; 29: 547-550.
  • 19. Friedman Y. Comparison of percutaneous and surgical tracheostomies. Chest 1996;110(2):480-485.
  • 20. Kaplan A, Yaşar MA, Özer AB. Griggs, Perkütwist ve Ciaglia Perkütan Trakeostomi Yöntemlerinin Karşılaştırılması. Fırat T ıp Dergisi 2010;15(4):173-177.
  • 21. Byhahn C, Wilke HJ, Lischke V, et al. Bedside percutaneous tracheostomy: clinical comparison of Griggs and Fantoni techniques. World J Surg 2001; 25: 296-301.
  • Anon JM, Gomez V, Escuela P, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124-8.
  • 22.Van Heurn LW, Van Geffen GJ, Brink PR. Clinical experience with percutaneous dilatational tracheostomy: report of 150 cases. Eur J Surg 1996; 162: 531-5.
  • 23.Friedman Y, Mizock BA. Percutaneous versus surgical tracheostomy: procedure of choice or choice of procedure. Crit Care Med 1999; 27: 1684-5.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Fatma Koçyiğit 0000-0001-7250-7060

Serpil Bayındır 0000-0001-7250-7060

Publication Date September 30, 2018
Acceptance Date June 21, 2018
Published in Issue Year 2018 Volume: 8 Issue: 3

Cite

APA Koçyiğit, F., & Bayındır, S. (2018). Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu. Çağdaş Tıp Dergisi, 8(3), 197-200. https://doi.org/10.16899/gopctd.403178
AMA Koçyiğit F, Bayındır S. Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu. J Contemp Med. September 2018;8(3):197-200. doi:10.16899/gopctd.403178
Chicago Koçyiğit, Fatma, and Serpil Bayındır. “Yoğun bakım Trakeostomi Deneyimlerimiz; 103 Olgu”. Çağdaş Tıp Dergisi 8, no. 3 (September 2018): 197-200. https://doi.org/10.16899/gopctd.403178.
EndNote Koçyiğit F, Bayındır S (September 1, 2018) Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu. Çağdaş Tıp Dergisi 8 3 197–200.
IEEE F. Koçyiğit and S. Bayındır, “Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu”, J Contemp Med, vol. 8, no. 3, pp. 197–200, 2018, doi: 10.16899/gopctd.403178.
ISNAD Koçyiğit, Fatma - Bayındır, Serpil. “Yoğun bakım Trakeostomi Deneyimlerimiz; 103 Olgu”. Çağdaş Tıp Dergisi 8/3 (September 2018), 197-200. https://doi.org/10.16899/gopctd.403178.
JAMA Koçyiğit F, Bayındır S. Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu. J Contemp Med. 2018;8:197–200.
MLA Koçyiğit, Fatma and Serpil Bayındır. “Yoğun bakım Trakeostomi Deneyimlerimiz; 103 Olgu”. Çağdaş Tıp Dergisi, vol. 8, no. 3, 2018, pp. 197-00, doi:10.16899/gopctd.403178.
Vancouver Koçyiğit F, Bayındır S. Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu. J Contemp Med. 2018;8(3):197-200.